Individual
BEA PATTHANA ROBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
290 RANDALL RD, SOUTH ELGIN, IL 60177-2274
(847) 289-1095
(847) 289-1173
Mailing address
811 HAYRACK DR, ALGONQUIN, IL 60102-6375
(847) 722-7681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.288550
IL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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